title: Infective endocarditis in the intensive care unit.
abstract: Infective endocarditis has many facets and various expressions depending on the site of infection, microorganism, underlying heart lesion, immune status of the host, and remote effects such as emboli, organ dysfunction, and the condition of the host. Diagnosis depends on meticulous clinical examination, blood cultures results, and echocardiographic findings. The management of the patient with endocarditis in the intensive care unit is complex and needs a multidisciplinary team, including an intensivist, cardiologist, experienced echocardiologist, infectious diseases specialist, and cardiac surgeon. The medical and surgical management of such patients is complex, and timely decisions are important.
authors.affiliation: Department of Internal Medicine, University of Manitoba, Manitoba, Canada; Department of Medical Microbiology, University of Manitoba, Manitoba, Canada; Department of Community Health Sciences, University of Manitoba, Manitoba, Canada. Electronic address: keynany@yahoo.com.
authors.forename: Yoav
authors.initials: Y
authors.lastname: Keynan
authors.forename: Rohit
authors.initials: R
authors.lastname: Singal
authors.forename: Kanwal
authors.initials: K
authors.lastname: Kumar
authors.forename: Rakesh C
authors.initials: RC
authors.lastname: Arora
authors.forename: Ethan
authors.initials: E
authors.lastname: Rubinstein
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D024881:Drug Resistance, Bacterial; D004452:Echocardiography / Q000379:methods; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects / Q000382:microbiology; D006801:Humans; D007362:Intensive Care Units; D018805:Sepsis / Q000209:etiology / Q000628:therapy*; D013203:Staphylococcal Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013211:Staphylococcus aureus
chemical_list: D000900:Anti-Bacterial Agents
keywords: Diagnosis; Echocardiography; Endocarditis; ICU; Infection site